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Accounting Manager

Mission Neighborhood Health Center • San Francisco, CA

Mid-Senior level Posted April 17, 2026 Job link

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Responsibilities

Commitments

Responsibilities

The accounting manager will ensure a high level of integrity, timeliness of financial reporting, and internal controls.
Perform and ensure timely month and year-end close processes.
Will ensure the organization complies with all tax reporting, preparation of grant budgets and invoices, preparation of payroll, accounts payable disbursements, procurement and preparation of all worksheets for annual audit and other reporting needs of the organization.
Supervision of four direct reports; this position is required to be able to perform duties of each position, as a backup and to assist in simplifying processes and increase efficiencies.
ESSENTIAL FUNCTIONS / RESPONSIBILITIES Supervision - 30%
Payroll, Accounts Payable, and Procurement functions of the organization.
Will ensure that all bills, expense reports, timesheets and any other payments and respective supporting documents are processed in a timely and accurate manner.
Accounts Receivable –ensures that receipts are posted accurately and on a daily basis.
Grant management – prepares budgets, receivables and revenue reporting, compliance with regulations and providing guidance to Program Directors regarding their grants.
Coaches and educates staff on policies and procedures of the organization
Evaluates direct reports within designated time frames, providing on-going feedback, coaching, and supervision.
Primary Functions - 70%
Responsible for closing the books each month and at year-end, ensures the proper recognition and recording of all financial transactions by the set timelines.
Responsible for the preparation of monthly reconciliations on all balance sheet accounts and other accounts each month.
Prepare the monthly financial reports for board committees and other special reports as needed.
Prepares and maintains the 3 rd party and patient pay revenue reconciliation monthly.
Supervises and updates the fixed assets system and coordinates and oversees the annual physical inventory process.
Prepares and submits all federal, state, and local tax returns ensuring that MNHC is compliant with applicable filing requirement policies and procedures.
Ensures that all schedules and work papers are prepared and ready for the annual financial and 401K audits.
Acts as the primary specialist with regards to reporting functionality; creating reports, updates and maintenance of the Sage 100 (x-MIP) accounting software.
Coordinates and /or assists in special audits as necessary.
Other financial or operational related activities as deemed necessary from time to time as assigned by the CFO.
Customer Service
Provides exceptional customer service.
Always represent the Organization in a professional manner.
Safety
Maintain personal safety and follow the Organization’s policies.
Report all and any safety issues, accidents or injuries to your manager as a matter of priority.
Effective Team Member
Ability to interact positively with team members.
Ability to facilitate positive change.
Partner with supervisor when necessary to address department issues or concerns.

Commitments

Location: In person, Monday - Friday Other financial or operational related activities as deemed necessary from time to time as assigned by the CFO. Maintain personal safety and follow the Organization’s policies. Physical Demands: While performing the duties of this job, the employee is required to sit approximately 80% of the time, walk 10% of the time, and stand 10% of the time. The employee is frequently required to use hands and fingers to type or handle, feel, and operate objects. The employee is required to occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is occasionally required to reach with hands and arms. The employee is frequently required to speak and listen. As a condition of employment, all candidates are required to provide documentation of current immunizations, including COVID-19 and TB test results valid within the last two (2) years must be submitted before the start date, as well as MMR immunization. Failure to provide this documentation may result in a delayed start or withdrawal of the job offer. To learn more about our organization, please visit our website at www.mnhc.org. We offer a full range of benefits which includes the following: Annual 4% COLA increase 401(k) retirement savings plan includes a company contribution Vacation: 2 weeks annually Paid educational leave: 40 hours annually Medical insurance: zero out-of-pocket expense under the base plan Dental and vision insurance provided at no cost to the employee Life insurance includes a free basic policy with an optional voluntary plan Paid time off includes 12 paid holidays, a birthday holiday, two floating holidays and 12 sick days per year Flexible spending accounts for health and dependent care expenses Commuter benefits Mission Neighborhood Health Center is an Equal Employment Opportunity employer committed to fostering an inclusive environment for our diverse workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider employment for qualified applicants with arrest and conviction records.

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What still needs stronger evidence

Requirements

Requires a strong understanding of GAAP, A133, internal control processes and hands-on experience overseeing and managing a multitude of grants from varying funding sources.
Strong analytical skills and demonstrated attention to detail.
Leadership - Strong, effective supervisory skills to oversee staff.
Communication - Strong written and verbal communication skills.
Must be a well-organized professional who thrives in a team-oriented environment.
Stress Management - Ability to remain tactful under pressure and present a professional demeanor and communication style with co-workers in a multicultural setting.
3 years of experience as a manager in the finance department of a nonprofit.
Strong experience with Sage 100 fund accounting software.
Excellent working knowledge of Microsoft Office, especially Excel, including VLOOKUP and macros.
Strong computer and analytical skills, particularly with accounting and financial software.
Ability to set priorities and performance standards and develop actionable plans to accomplish goals.
Ability to maintain the highest level of confidentiality when handling sensitive financial information.
General office equipment, fax, copier, printer, phone, and computer PREFERRED QUALIFICATIONS
MBA or CPA
3 years of experience as a manager in the finance department in the healthcare industry.
Physical Demands: While performing the duties of this job, the employee is required to sit approximately 80% of the time, walk 10% of the time, and stand 10% of the time.
The employee is frequently required to use hands and fingers to type or handle, feel, and operate objects.
The employee is required to occasionally lift and/or move up to 20 pounds.
As a condition of employment, all candidates are required to provide documentation of current immunizations, including COVID-19 and TB test results valid within the last two (2) years must be submitted before the start date, as well as MMR immunization.

Education

(Not required) – Bachelor‘s degree in accounting.
(Not required) – MBA or CPA

The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco. The center offers primary health care services, adult medicine, pediatrics, family planning, OB/GYN, HIV and homeless services. We advocate for health equity and deliver innovative, high-quality services responsive to the neighborhoods and diverse communities we serve. We are currently seeking qualified candidates for our Accounting Manager position. This position reports to the Chief Financial Officer and is a regular, full Time, exempt role with a salary range of $133,008 to $146,370 with full benefits. Location: In person, Monday - Friday
Primary Objective: Under the supervision of the Chief Financial Officer, the Accounting Manager is responsible for providing financial leadership and expertise for the day-to-day accounting functions of the organization. The accounting manager will ensure a high level of integrity, timeliness of financial reporting, and internal controls. Perform and ensure timely month and year-end close processes. Will ensure the organization complies with all tax reporting, preparation of grant budgets and invoices, preparation of payroll, accounts payable disbursements, procurement and preparation of all worksheets for annual audit and other reporting needs of the organization. Supervision of four direct reports; this position is required to be able to perform duties of each position, as a backup and to assist in simplifying processes and increase efficiencies.
ESSENTIAL FUNCTIONS / RESPONSIBILITIES Supervision - 30%
Payroll, Accounts Payable, and Procurement functions of the organization. Will ensure that all bills, expense reports, timesheets and any other payments and respective supporting documents are processed in a timely and accurate manner. Accounts Receivable –ensures that receipts are posted accurately and on a daily basis. Grant management – prepares budgets, receivables and revenue reporting, compliance with regulations and providing guidance to Program Directors regarding their grants.
Coaches and educates staff on policies and procedures of the organization
Evaluates direct reports within designated time frames, providing on-going feedback, coaching, and supervision. Primary Functions - 70%
Responsible for closing the books each month and at year-end, ensures the proper recognition and recording of all financial transactions by the set timelines.
Responsible for the preparation of monthly reconciliations on all balance sheet accounts and other accounts each month.
Prepare the monthly financial reports for board committees and other special reports as needed.
Prepares and maintains the 3 rd party and patient pay revenue reconciliation monthly.
Supervises and updates the fixed assets system and coordinates and oversees the annual physical inventory process.
Prepares and submits all federal, state, and local tax returns ensuring that MNHC is compliant with applicable filing requirement policies and procedures.
Ensures that all schedules and work papers are prepared and ready for the annual financial and 401K audits.
Acts as the primary specialist with regards to reporting functionality; creating reports, updates and maintenance of the Sage 100 (x-MIP) accounting software.
Coordinates and /or assists in special audits as necessary.
Other financial or operational related activities as deemed necessary from time to time as assigned by the CFO. Customer Service
Provides exceptional customer service.
Always represent the Organization in a professional manner. Safety
Maintain personal safety and follow the Organization’s policies.
Report all and any safety issues, accidents or injuries to your manager as a matter of priority. Effective Team Member
Ability to interact positively with team members.
Ability to facilitate positive change.
Partner with supervisor when necessary to address department issues or concerns. Skills and Abilities:
Personality - Independent thinker, possess excellent customer service skills, professional attitude, a high level of personal integrity, maturity, and business judgment required.
Performance - Able to multi-task, prioritize tasks, meet deadlines, able to do presentations, and maintain confident information. Requires a strong understanding of GAAP, A133, internal control processes and hands-on experience overseeing and managing a multitude of grants from varying funding sources. Strong analytical skills and demonstrated attention to detail.
Leadership - Strong, effective supervisory skills to oversee staff.
Communication - Strong written and verbal communication skills. Must be a well-organized professional who thrives in a team-oriented environment.
Stress Management - Ability to remain tactful under pressure and present a professional demeanor and communication style with co-workers in a multicultural setting. MINIMUM QUALIFICATIONS
Bachelor‘s degree in accounting.
3 years of experience as a manager in the finance department of a nonprofit.
Strong experience with Sage 100 fund accounting software.
Excellent working knowledge of Microsoft Office, especially Excel, including VLOOKUP and macros.
Strong computer and analytical skills, particularly with accounting and financial software.
Ability to set priorities and performance standards and develop actionable plans to accomplish goals.
Ability to maintain the highest level of confidentiality when handling sensitive financial information.
General office equipment, fax, copier, printer, phone, and computer PREFERRED QUALIFICATIONS
MBA or CPA
3 years of experience as a manager in the finance department in the healthcare industry. Physical Demands: While performing the duties of this job, the employee is required to sit approximately 80% of the time, walk 10% of the time, and stand 10% of the time. The employee is frequently required to use hands and fingers to type or handle, feel, and operate objects. The employee is required to occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is occasionally required to reach with hands and arms. The employee is frequently required to speak and listen. Specific vision abilities of this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
As a condition of employment, all candidates are required to provide documentation of current immunizations, including COVID-19 and TB test results valid within the last two (2) years must be submitted before the start date, as well as MMR immunization. Failure to provide this documentation may result in a delayed start or withdrawal of the job offer.
To learn more about our organization, please visit our website at www.mnhc.org. We offer a full range of benefits which includes the following:
Annual 4% COLA increase
401(k) retirement savings plan includes a company contribution
Vacation: 2 weeks annually
Paid educational leave: 40 hours annually
Medical insurance: zero out-of-pocket expense under the base plan
Dental and vision insurance provided at no cost to the employee
Life insurance includes a free basic policy with an optional voluntary plan
Paid time off includes 12 paid holidays, a birthday holiday, two floating holidays and 12 sick days per year
Flexible spending accounts for health and dependent care expenses
Commuter benefits Mission Neighborhood Health Center is an Equal Employment Opportunity employer committed to fostering an inclusive environment for our diverse workforce. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, or other applicable legally protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider employment for qualified applicants with arrest and conviction records.